A nurse is providing education to a patient newly diagnosed with Ankylosing Spondylitis.
Which of the following statements is appropriate for the nurse to include in the teaching plan?
"You should avoid exercise to prevent further joint stiffness.”
"Heat therapy is not recommended for pain relief.”
"Proper body mechanics and posture are not essential.”
"Using assistive devices can improve your mobility and reduce fall risk.”
The Correct Answer is D
Choice A rationale:
"You should avoid exercise to prevent further joint stiffness." This statement is not appropriate for the nurse to include in the teaching plan.
Exercise is actually important for individuals with Ankylosing Spondylitis (AS) to maintain joint flexibility and mobility.
Encouraging exercise is a key aspect of managing AS.
Avoiding exercise can lead to increased joint stiffness and decreased mobility, which is contrary to the goals of treatment.
Choice B rationale:
"Heat therapy is not recommended for pain relief." This statement is not accurate.
Heat therapy, such as warm baths or heating pads, can be recommended for pain relief in individuals with AS.
Heat helps to relax muscles, reduce pain, and improve mobility in AS patients.
Therefore, the nurse should not provide this incorrect information to the patient.
Choice C rationale:
"Proper body mechanics and posture are not essential." This statement is incorrect.
Proper body mechanics and posture are essential for individuals with Ankylosing Spondylitis.
Maintaining good posture and using proper body mechanics can help prevent further spinal deformities and reduce pain.
The nurse should emphasize the importance of these practices in the teaching plan.
Choice D rationale:
"Using assistive devices can improve your mobility and reduce fall risk." This is the correct answer.
Using assistive devices, such as canes or walkers, can indeed improve mobility and reduce the risk of falls for individuals with AS.
These devices provide stability and support when walking, which is especially important for those with spinal involvement in AS.
Therefore, this statement should be included in the teaching plan to provide helpful advice to the patient.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
This statement is incorrect.
Buttock pain in Ankylosing Spondylitis is not solely related to physical activity; it can occur at any time, and it often worsens with inactivity or prolonged periods of sitting.
Choice B rationale:
This statement is not entirely accurate.
While pain in the hips can occur in Ankylosing Spondylitis, it is not limited to the morning.
The hallmark feature is morning stiffness in the lower back.
Choice C rationale:
This statement is incorrect.
Pain in the thighs is not typically associated with Ankylosing Spondylitis, and it does not improve with rest.
Choice D rationale:
This statement aligns with the symptom of sacroiliitis, which is a common feature of Ankylosing Spondylitis.
Pain in the buttocks can indeed extend to the hips in individuals with this condition, especially when the inflammation affects the sacroiliac joints.
Correct Answer is ["B","C","E"]
Explanation
Choice A rationale:
"Administering opioid pain medications as needed." Administering opioid pain medications as needed is not typically a first-line treatment for Ankylosing Spondylitis (AS).
Opioids may be reserved for severe cases or when other pain management strategies have failed.
It is not a primary nursing intervention and can have side effects and risks associated with its use.
Choice B rationale:
"Encouraging regular exercise and physical therapy." Encouraging regular exercise and physical therapy is a crucial nursing intervention for patients with AS.
Exercise and physical therapy help improve mobility, maintain joint function, and reduce pain.
Therefore, this intervention is appropriate and should be included in the care plan.
Choice C rationale:
"Providing emotional support and counseling for anxiety." Emotional support and counseling for anxiety are essential for patients with AS.
Chronic conditions like AS can have a significant emotional impact, and addressing the patient's mental health is an important nursing intervention.
Choice D rationale:
"Recommending smoking cessation as a preventive measure." Smoking cessation is a relevant nursing intervention for AS patients.
Smoking has been associated with worse outcomes in AS, and quitting smoking can be beneficial for overall health and symptom management.
Choice E rationale:
"Monitoring the patient's lung capacity and spinal curvature." Monitoring lung capacity and spinal curvature is important in the assessment and management of AS.
AS can affect the spine and lungs, and regular monitoring helps identify any complications or disease progression.
This nursing intervention is appropriate and necessary.
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